| Doctor Name: | MR. JESSE TALBOT ADAMS |
| NPI Number: | 1447485636 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | C5529 |
| Business Practice Address: | 301 N Main St Suite One Water Valley, MS - 389652505 |
| Business Phone Number: | 6628320116 |
| Business Fax Number: | |
| Mailing Address: | 301 N Main St, Suite One WATER VALLEY |
| State: | MS |
| Postal Code: | 389652505 |
| Phone Number: | 6628320116 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2009 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C5529 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |